Persistent sleep disordered breathing after adenoidectomy and/or tonsillectomy: a long-term survey in a tertiary pediatric hospital
| Autor: | Nelly Huynh, Marie-Claude Quintal, Julia Cohen-Levy, Fernanda R. Almeida, Anthony Abela, Pierre H. Rompré |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Neurology Younger age Adolescent medicine.medical_treatment Severity of Illness Index Adenoidectomy Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Pediatric hospital medicine Humans Postoperative Period Child Retrospective Studies Tonsillectomy Sleep Apnea Obstructive business.industry medicine.disease Obstructive sleep apnea Treatment Outcome Otorhinolaryngology Child Preschool Sleep disordered breathing Female Neurology (clinical) Sleep business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Sleep and Breathing. 22:1197-1205 |
| ISSN: | 1522-1709 1520-9512 |
| DOI: | 10.1007/s11325-018-1734-3 |
| Popis: | To determine the long-term prevalence of persistent sleep disordered breathing (SDB) in children, after adenoidectomy, tonsillectomy or adenotonsillectomy, and to assess the relationship between baseline characteristics and persistent nocturnal symptoms. The clinical charts of children operated for adenoidectomy and/or tonsillectomy in a tertiary hospital, between January 2000 and March 2016, were retrospectively reviewed. All patients who had signs of SDB prior to surgery received a six-question validated pediatric questionnaire, the Hierarchic Severity Clinical Scale (HSCS). A total of 4000 children showing SDB prior to surgery were selected out of 5809 (68.9%); 1176 parents returned the questionnaire (29.4%), with a mean age at surgery of 4.3 ± 2.2 and age at survey of 9.6 ± 3.6. Complete resolution of SDB was subjectively reported in 798 patients (67.9%), and mild SDB was suspected in 301 children (25.6%, HSCS > 0 with chronic snoring), while 77 (6.5%) had a HSCS > 2.72, suggesting persistent obstructive sleep apnea. In non-syndromic children, male sex, history of sole adenoidectomy, or sole tonsillectomy, and early age of surgery ( |
| Databáze: | OpenAIRE |
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